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SCHEDULE 1 (Form 1040 or 1040-SR)
Department of the Treasury Internal Revenue Service
Additional Income and Adjustments to Income ▶ Attach to Form 1040 or 1040-SR.
▶ Go to www.irs.gov/Form1040 for instructions and the latest information.
OMB No. 1545-0074
2019 Attachment Sequence No. 01
Name(s) shown on Form 1040 or 1040-SR Your social security number
At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . 1 2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Date of original divorce or separation agreement (see instructions) ▶ 3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . 3 4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . 4 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . 5 6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . 6 7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Other income. List type and amount ▶
8 9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a . . . . . . . . 9
Part II Adjustments to Income 10 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11
Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . . . 12 13 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . . . . 13 14 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . 14 15 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . . . 15 16 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . 16 17 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . 17 18a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a
b Recipient’s SSN . . . . . . . . . . . . . . . . . . . . . ▶
c Date of original divorce or separation agreement (see instructions) ▶ 19 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . 20 21 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . 21 22
Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040 or 1040-SR) 2019
Version A, Cycle 7
INTERNAL USE ONLY DRAFT AS OF December 20, 2019
SCHEDULE 1
(Form 1040 or 1040-SR)
Department of the Treasury Internal Revenue Service
Additional Income and Adjustments to Income
▶ Attach to Form 1040 or 1040-SR.
▶ Go to www.irs.gov/Form1040 for instructions and the latest information.
OMB No. 1545-0074
2019
2019. Cat. No. 71479F.
Attachment
Sequence No. 01
Attachment Sequence No. 01. For Paperwork Reduction Act Notice, see your tax return instructions.
At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency?
Part I
Additional Income
1
Taxable refunds, credits, or offsets of state and local income taxes
1
2
a
Alimony received
2a
b
3
Business income or (loss). Attach Schedule C
3
4
Other gains or (losses). Attach Form 4797
4
5
Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
5
6
Farm income or (loss). Attach Schedule F
6
7
Unemployment compensation
7
8
8
9
Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a
9
Part II
Adjustments to Income
10
Educator expenses
10
11
Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106
11
12
Health savings account deduction. Attach Form 8889
12
13
Moving expenses for members of the Armed Forces. Attach Form 3903
13
14
Deductible part of self-employment tax. Attach Schedule SE
14
15
Self-employed SEP, SIMPLE, and qualified plans
15
16
Self-employed health insurance deduction
16
17
Penalty on early withdrawal of savings
17
18
a
Alimony paid
18a
b
Recipient’s SSN ▶
c
19
IRA deduction
19
20
Student loan interest deduction
20
21
Tuition and fees. Attach Form 8917
21
22
Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a
22
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 71479F
Schedule 1 (Form 1040 or 1040-SR) 2019
8.2.1.3144.1.471865.466429
Additional Income and Adjustments to Income
SE:W:CAR:MP
2019 Schedule 1 (Form 1040 or 1040-SR)
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